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Philanthropic foundations focus on innovation rather than quality of care in hospitals.

Date: 1920s

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Foundation funding in this era primarily supports research to develop new procedures, technologies, strategies, and professional conferences. Researchers and physicians compete for funding based on their "innovations," and professional commendation is increasingly based on research rather than quality of care, recovery rates, etc.

This cultural shift shapes how hospitals are organized, how medical schools train future physicians, and what physicians prioritize within their medical careers.